JEREMY A BEATTY OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009701

License Status

INACTIVE

Business

First Name

JEREMY

Middle

Last Name

BEATTY

Suffix

Business Name

JEREMY A BEATTY OD

Original Issue Date

08/18/2004

Effective Date

03/30/2010

Expiration Date

03/31/2012

City

FERGUSON

State

Zip

63135

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/12/2012